Displaying 121231-121240 of 1611142 results.
ID:
121231
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121232
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121233
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121234
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121235
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121236
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121237
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121238
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121239
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
121240
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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